| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.41 | $50.33 | $215.79 | |
Aetna
| Professional | $20.92 | $24.03 | $31.41 | |
Cigna
| Facility | $24.17 | $24.86 | $77.91 | |
Cigna
| Professional | $14.86 | $29.25 | $36.56 | |
Molina
| Professional | $48.86 | $48.86 | $48.86 | |
Regence BlueShield
| Facility | $28.27 | $32.51 | $127.21 | |
Regence BlueShield
| Professional | $21.64 | $22.14 | $24.04 | |
United
| Professional | $11.87 | $11.87 | $16.96 |